Table 3.
Qualitative analysis of POZ/AIDSmeds community forumsa: examples of quotations coded for impact of cardiovascular risks associated with antiretroviral treatment
Codes for impact of cardiovascular risks | Quotations from POZ/AIDSmeds community forums |
---|---|
Awareness | “I read that Epzicom has moved from ‘preferred’ to ‘alternate status because concerns about possible increased heart attack risk” |
Patient concerns | “…the Abacavir added risk to MI, it is indeed a concern of mine. I am not too happy with this additional risk. Therefore I will discuss it with the cardiologist” “Actually my doc has brought up another boosted PI with Isentress, but I am reluctant, because I think the Norvir booster (even at that low dose) is heart toxic…Probably being a little irrational, but still...” “My concern with Epzicom is that I took it for 5 years. I only switched because of abacavir and the studies that showed potential cardio problems” |
Clinician concerns | “I would like to switch since the doctors are concerned about heart attack risk with ziagen” Abacavir: “My doctor said he will not prescribe it for me due to the combined facts of my age (48) and I’m a smoker. He said the cardiac risk was too high when there were other meds available to me” |
Treatment impact | “My concern with Epzicom is that I took it for 5 years. I only switched because of abacavir and the studies that showed potential cardio problems” “Ziagen (abacavir) is now said to be linked to heart disease. In my case, with a family history of heart attacks, I am changing my regime to Truvada plus something else…” “I switched from Epzicom to Atripla—around 2007—because of general cardiovascular concerns with abacavir—even though I don’t have risk factors for heart disease, except I’m a male and 60” “I switched from Kaletra…I felt Kaletra may have been keeping my HIV under control but it was putting me at risk for stroke” |
aThere are 18 separate POZ/AIDSmeds forums organized by topics. For the current analysis, all posts made to two forums between January 2008 and August 2014 were examined: (1) the English version of “Living with HIV” and (2) “Questions about treatment and side effects”